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[目的]观察软肝贴穴位贴敷神灯照射与消鼓软肝方联合西药治疗肝硬化腹水疗效。[方法]使用前瞻性设计方法,对64例住院患者使用软肝贴(水蛭、虻虫各5g,三棱、莪术、元胡、泽兰、马鞭草、大腹皮、姜黄、路路通各15g,共研成细末,醋调匀),穴位贴敷于肝区章门穴、期门穴、日月穴,并用神灯照射30min,1次/d;消鼓软肝方(柴胡、枳壳、陈皮、大腹皮、丹参、赤芍、鸡内金、益母草、泽兰、茯苓、泽泻、葫芦瓢各15g),150mL,1次/d,口服;0.9%氯化钠100mL+还原性谷胱甘肽1.2g,静点,1次/d;呋塞米20mg/次,3次/d,口服;螺内酯20mg/次,3次/d,口服;肌苷0.2/次,3次/d,口服;当白蛋白<25g/L时,补充人血白蛋白10g/次,1次/d静点,连续3d。连续治疗30d为1疗程。观测临床症状、肝功能指标、脾脏状况、腹水、不良反应。连续治疗2疗程,判定疗效。[结果]显效39例,有效21例,无效4例,总有效率93.75%(60/64)。[结论]软肝贴穴位贴敷神灯照射与消鼓软肝方联合西药治疗肝硬化腹水,疗效满意,无副作用,值得推广。
[Objective] To observe the curative effect of ascites caused by cirrhosis of liver cirrhosis treated with soft liver sticking acupoints and applying Shendeng irradiation and eliminating drums of Rougan recipe in combination with Western medicine. [Methods] A prospective design method was used in 64 inpatients with soft liver paste (leech, pinworm 5g each, trigeminy, zedoary turmeric, Yuanhu, Zeeland, verbena, big belly skin, turmeric, 15g, a total of research into the fine, vinegar and mix thoroughly), acupuncture points affixed to the liver area Zhangmen point, the door points, sun and moon acupuncture points, and with the magic lamp irradiation 30min, 1 time / d; Citrus aurantium, dried tangerine peel, epidermis, Salvia miltiorrhiza, red peony, chickweed, motherwort, Zeeland, Poria, Alisma, gourd scoop each 15g), 150mL, 1 / Glutathione 1.2g, intravenous point, once / d; furosemide 20mg / time, 3 times / d, oral; spironolactone 20mg / time, 3 times / d, / d, orally; when albumin <25g / L, add human serum albumin 10g / time, 1 times / d static point, continuous 3d. Continuous treatment of 30d for a course of treatment. Observation of clinical symptoms, liver function indicators, spleen status, ascites, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Results] 39 cases were markedly effective, 21 cases were effective and 4 cases were ineffective. The total effective rate was 93.75% (60/64). [Conclusion] The soft liver paste acupoint sticking with the magic lamp and the decoction of ronggui ruangan decoction combined with western medicine in the treatment of cirrhosis ascites has satisfactory curative effect and no side effects, which is worth to popularize.